Abstract: Pesticide poisoning cases were reviewed in 72 medical centers: District Hospital (30) and Basic Health Unit 142) throughout the country. Total 408 poisoning cases were recorded. Of these 165 (40.4%) were accidental and 243 (59.6%) were suicidal. The total number at deaths due to suicidal poisoning was found to be 63 (26%) from 243 suicidal attempts. Whereas, survival rate was hundred % in accidental poisoning cases. Major causes of accidental/intentional (Suicidal) have been identified and factors contributing occupation related acute pesticides poisoning are discussed in detailed.